Angel Coronel, a 38-year-old recovering from a brain tumor and stroke, faces the prospect of halting his crucial rehabilitation due to a billing dispute between Anthem Blue Cross and Scripps Health. Scripps, now out-of-network for Anthem members, informed Coronel his care is no longer covered, leaving him facing exorbitant out-of-pocket costs. Coronel's aunt, Lisa Ryan, highlights the challenges patients in his condition face navigating complex insurance procedures. While Anthem claims to be working with Coronel to ensure continued care, he remains without approval as of Friday afternoon.
Angel Coronel is learning to speak, eat and walk again.The 38-year-old goes to the Scripps Health brain injury rehab program every day and needs to spend two more months in the program.“It means everything,” he said before tearing up to explain the limbo he’s now in.Coronel, who is recovering from a brain tumor and stroke, is one of an estimated 125,000 patients stuck in the crosshairs of a dispute between Anthem Blue Cross and Scripps Health .
Health insurance providers are legally required to continue giving patients with serious chronic conditions in-network rates for a limited time. But patients must apply for the continuation of care and there’s no guarantee it will be approved immediately.Coronel’s aunt Lisa Ryan said someone recovering from a brain injury can’t comprehend the process or know how to fill out the paperwork.“I spent the whole day on the phone trying to figure out exactly what our options were going to be.
HEALTH INSURANCE REHABILITATION BRAIN INJURY INSURANCE DISPUTE ANTHEM BLUE CROSS SCRİPPS HEALTH
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